HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Remedy For Persistent Dysuria And Abdominal Pain

default
Posted on Mon, 28 Dec 2015
Question: hello -

Back in XXXXXXX I had some pain while urinating, watery discharge from my penis, abdomen pain, blood while urinating. I got checked for all STI's (twice) and UTI's and all were negative. They put me on antiobiotics and the symtpoms went away and the Dr suggested it was likely from prostatis as I from time to time have urgency to pee but no other symptoms since then.

I read in the news yesterday about a newly discovered STI called 'MG' that has the same symptoms as mentioned above but does not show up on standard STI tests (chalymdia, ghonnerea) and of course is causing me anxiety.

Is this something I should be concerned about, I have never had a STI and am in a monogamous relationship as far as I know.

Thanks

doctor
Answered by Dr. Ronald Schubert (31 minutes later)
Brief Answer:
Mycoplasma Genitalium

Detailed Answer:
Thank you for contacting HCM with your health care concerns

You recently heard of a "new" STD called MG or mycoplasma genitalium. This bacteria has been known for several decades and is still not known if it causes STD. It is a normal finding in the genital urinary tract of both men and women. It is thought to cause urethritis in men and cervicitis and bacterial vaginosis in women. The treatment is usually erythromycin or macrolides and levofloxacin or quinalones. I would recommend talking with your provider and together decide whether or not to treat.

Your partner probably has this bacteria already but as it maybe normal flora it may not cause her any infection.

I hope this answers your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (11 minutes later)
thank you for the answer! Considering my provider never even mentioned MG as a possible cause (they said the cause of the symptoms) was prostatitis I am looking to find out on here if you think this is the root cause and how do I find out for certain to put my mind at ease? Thanks
doctor
Answered by Dr. Ronald Schubert (2 minutes later)
Brief Answer:
Highly likely cause of your symptoms

Detailed Answer:
I think it is highly likely that your symptoms are from the MG.

I would gently suggest it to your medical provider and ask to be treated again with the antibiotics. I might even suggest having your partner treated as she could be colonized with MG and not even have symptoms.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (8 minutes later)
thank you, is there a test I can do to find out for certain. I have been to three different health care providers and have had urine tests and blood work and nobody ever mentioned MG and I don't have any symptoms other than the odd urgency to pee. All three said prostatitis.. With this in mind can you please explain why feel as though it's highly likely I am infected with this bacteria?
doctor
Answered by Dr. Ronald Schubert (7 minutes later)
Brief Answer:
Need specific urine culture for MG

Detailed Answer:
The bacteria MG is found in almost every body so it is still controversial as to if MG is really a STD. The only way to check is to have a urethra swap taken and cultured for MG. Most labs do not do this test.

I think you have MG because all your symptoms and history fit exactly. Most doctors would possible call this infection as non-gonococcal urethritis.

You can ask again for treatment either azithromycin for 5 days or levofloxin for 7 days.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (14 minutes later)
thank you. I am confused though, the symptoms I noted above are also the exact same symtoms as UTI's and several STD's which were ruled out and are also the same as prostatis which is what they diagnosed. I am surprised (and very worried) that you feel so strongly this is caused by something none of the other Dr's even mentioned. I would not have even known about MG had I not read cnn yesterday. Can people have this for a long time without knowing as I have been in a monogamous relationship and neither of us have any symptoms.
doctor
Answered by Dr. Ronald Schubert (2 hours later)
Brief Answer:
Yes long term

Detailed Answer:
Yes this can be a long term infection. Even in a monogamous relationship. remember nothing is absolute in medicine. We are learning new things everyday and we change our minds daily too. As I told you earlier this is still very controversial and not all doctors agree that MG is even a disease. But your symptoms do correlate with MG or non-gonoccocal urethritis.

I should mention that you really do not fit in the Dx of UTI as UTI is frequency urgency on urination. There is no discharge with UTI. Also Prostatitis does not produce discharge and is diagnosed with painful prostate with a swollen prostate on exam. The diagnosis of prostate infection is a clinical diagnosis and there are no labs to confirm prostatitis. So all the optional diagnosis really point toward the MG infection and none of the others.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (1 hour later)
Noted with thanks. I should mention that my prostate was examined in one case. Also, regarding the NSU...is it possible that I do have this bacteria is this could be caused in me from my wife having bacterial vaganosis? Thanks for your help. I will leave you alone after this. :)
doctor
Answered by Dr. Ronald Schubert (2 minutes later)
Brief Answer:
Bacterial vaginosis has been associated with MG

Detailed Answer:
It is possible that the MG is a cause of bacterial vaginosis and if you both get treated it may resolve each of your's issues.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (1 hour later)
Thanks...she has been experiencing the BV for many years...this problem has only affected me for a few months. Is it possible the cause of my potential case of nsu or mg is a result of her bv?
doctor
Answered by Dr. Ronald Schubert (12 hours later)
Brief Answer:
MG is a possible cause of bacterial vaginosis

Detailed Answer:
Yes there is data that suggests that MG is a possible cause for bacterial vaginosis
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (7 minutes later)
Sorry, allow me to rephrase, knowing that we are in a monagamous relationship and neither of us had any std's...what I was asking is if I an not infected with nsu/mg and my wife has bacterial vaganosis is it possible that I could get nsu/mg from her case of BV?
doctor
Answered by Dr. Ronald Schubert (14 minutes later)
Brief Answer:
Yes

Detailed Answer:
Yes it is entirely possible that you could be getting your MG from your wife's BV. That is why I recommended earlier that you both could get treated at the same time. The hope here is that you will not re-infect each other
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (10 minutes later)
Many thanks for your help. One last question and I will leave you alone. Do you think we should both get tested for MG/NSU or because this a tricky and not readily available test should we just treat ourselves anyway as a precaution without getting tested.
doctor
Answered by Dr. Ronald Schubert (8 minutes later)
Brief Answer:
get treated

Detailed Answer:
Since the MG is so controversial and the test not readily available I would ask your doctor to treat both of you at the same time. We call that empirical treatment. I hope your doctor understands your position and will agree to this course of treatment.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ronald Schubert (18 minutes later)
Thank you Dr Schubert
doctor
Answered by Dr. Ronald Schubert (1 minute later)
Brief Answer:
your welcome

Detailed Answer:
All my best to you and your wife in overcoming this issue
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Remedy For Persistent Dysuria And Abdominal Pain

Brief Answer: Mycoplasma Genitalium Detailed Answer: Thank you for contacting HCM with your health care concerns You recently heard of a "new" STD called MG or mycoplasma genitalium. This bacteria has been known for several decades and is still not known if it causes STD. It is a normal finding in the genital urinary tract of both men and women. It is thought to cause urethritis in men and cervicitis and bacterial vaginosis in women. The treatment is usually erythromycin or macrolides and levofloxacin or quinalones. I would recommend talking with your provider and together decide whether or not to treat. Your partner probably has this bacteria already but as it maybe normal flora it may not cause her any infection. I hope this answers your question. Please contact us again if you have any additional questions